AFMC Jobs in United States

This is a Community Based Education Coordinator position. · ...

Job Title: · Remote Physician Reviewer · About the Role: · The organization seeks physicians for prior authorizations and retrospective reviews from home. · Available specialties include Hematology/Oncology, Pulmonology, Cardiology, and Urology. · ...

Description · SCOPE OF POSITION:  · Responsible for the communication, education and promotion of quality improvement projects and activities to health care providers and consumers for facilitation of improved outcomes in targeted patient populations. Implementation and evaluatio ...

Description · SCOPE OF POSITION:  · Responsible for analyzing patient records to determine legitimacy and necessity of medical services in compliance with government reimbursement policies. Review may be prior authorization, concurrent with service or post service. Review finding ...

Description · SCOPE OF POSITION:  · Primary liaison working with state and local partners to lead education efforts relating to program goals and objectives; implement and monitor program systems; coordinate local program; act as liaison to program director(s); provide youth, par ...

Provide statistical support for quality improvement projects surveys and HEDIS needs assist in coordination of data activities for specific projects assure compliance with established protocols contractual requirements. · ...

Description · Job Description: AFMC is looking to contract with RNs and LPEs to complete PASRR Assessments. Compensation is paid by review completed.  · SCOPE OF SERVICES: · Participate in mandatory trainings that include topics such as HIPAA, Privacy and Security, Mandated Repor ...

Description · SCOPE OF POSITION:  · Provide statistical support for the development of measurement/re-measurement techniques, data analysis and reporting of quality improvement projects, surveys and HEDIS needs. Assist in the coordination of data activities for specific projects ...

AFMCMember Service Rep IIEnglish or Bilingual Looking to work for Arkansas Foundantion for Medical Care as a Medicaid Member Service Representative II?Please go to the website listed below to find out more about the position or to apply online.Go to to learn more or apply online ...

Description · SCOPE OF POSITION:  · Responsible for assisting individuals calling in to the AFMC 988 Helpline. Staff will provide evidence-informed crisis intervention, suicide prevention, information and referral, and supportive intervention to clients who are in emotional distr ...

Description · SCOPE OF POSITION:  · Responsible for assigned inspection, review and reporting activities related to the Inspections of Care (IOC) contract. Collaborate with medical and other professional staff to accomplish goals within designated timeframes. Support the organiza ...

Description · SCOPE OF POSITION:  · Responsible for the communication, education and promotion of quality improvement projects and activities to health care providers and consumers for facilitation of improved outcomes in targeted patient populations. Implementation and evaluatio ...

Job Title: Bilingual Member Service Rep II or Member Service Rep II · Job Type: Full-Time Category: Administrative / Clerical Location: Work from Home FSM Based - Fort Smith, AR 72903 US · Work from Home LR Based - Little Rock, AR 72201 US (Primary) Education: High SchoolOfficia ...

Job Description · Maintain comprehensive knowledge of specialty area, pertinent organizations, and healthcare environment. · Responsible for the resolution of customer/client requests including research, referral, policy review, revision and development, documentation and follow- ...

Description · AFMC is looking to contract with physicians to complete prior authorizations and retrospective reviews. Compensation is paid by review completed.  · Specialists Needed: · Hematologist/Oncologist · Pulmonologist · Neurologist · Cardiologist · Gastroenterologist · Ur ...

Description · Official Schedule after training: 9:00am - 5:30pm · SCOPE OF POSITION: · Maintain knowledge of the Arkansas Medicaid program, provide effective and efficient customer service to Medicaid Members for Arkansas Medicaid Program or Premium assistance programs.  Maintain ...

**Job Title:** Licensed Psychological Examiner · Overview · This position is responsible for conducting comprehensive evaluations to determine the appropriateness of nursing facility placement and identifying the need for specialized services. · Key Responsibilities: · Conduct in ...

Description · SCOPE OF POSITION · Perform initial and reconsideration reviews for private and Medicaid contracts. Develop relationships and promote mutually beneficial partnerships with employees, clients, other healthcare organizations, and the community at large. Support the or ...

AFMC · Member Service Rep II · English or Bilingual · Looking to work for Arkansas Foundantion for Medical Care as a Medicaid Member Service Representative II? · Please go to the website listed below to find out more about the position or to apply online. · Go to to learn more o ...

This position provides effective customer service to Medicaid Members. The member service representative maintains comprehensive knowledge of the AR Medicaid program. They assist with grievances and complaints as well as provide accurate information about healthcare coverage. · M ...